Dimond Medical Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

905735 Issued in AK

Legal business name

DIMOND MEDICAL CLINIC, LLC

Practice address

4001 Lake Otis Pkwy
#100
Anchorage, AK 99508-5211

Phone

(907) 561-7757

NPI assigned

Nov 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Deborah L Maclean

Title

Office MGR

Phone

(907) 341-7757

Specialties & licenses 1

Addresses

Other names 1

• Lake Otis Medical Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maury Allen Oswald, D.O.

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1265509681
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1851573331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E DIMOND BLVD",
            "address_2": "#12",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151908",
            "telephone_number": "907-341-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LAKE OTIS PKWY",
            "address_2": "#100",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085211",
            "telephone_number": "907-561-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMOND MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "MACLEAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "907-341-7757"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "905735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Otis Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Diller, M.D.
• Holly S Dimeglio, ANP
• Sherry Dimmick
• Dimond Childrens Dentistry Inc
• Dimond Chiropractic LLC
• Briana Dimond, LMT
• Angela Dingels
• Meghan Diola
• Marcel Victor Dionne, M.D., M.S.P.H.
• Sereign Diop

• Family Medicine Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.